Is Computed Tomography the Gold Standard in Aortic Dissection?

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dc.contributor.authorTatar, Sefa
dc.contributor.authorIcli, Abdullah
dc.contributor.authorAkilli, Hakan
dc.contributor.authorGormus, Niyazi
dc.contributor.authorSertdemir, Ahmet Lutfu
dc.date.accessioned2024-02-23T14:34:53Z
dc.date.available2024-02-23T14:34:53Z
dc.date.issued2020
dc.departmentNEÜen_US
dc.description.abstractIntroduction: Aortic dissection is a disease with high mortality, which is characterized by a tear in the aortic wall. Thanks to early diagnosis and treatment, patients' survival rates are high. Chest pain is the most common symptom. Imaging methods help in diagnosis. Its treatment is surgery. Case Report: A 47-year-old male patient was admitted to the emergency department with chest pain. The diagnosis of aortic dissection in computed tomography was evaluated as motion artifact and valve motion, and he was asked to be discharged from the emergency service after his diagnosis was missed. However, transesophageal echocardiography was performed because of the patient's clinical symptom and echocardiographic findings supported the aortic dissection. When a dissection flap was seen in transesophageal echocardiography, the patient was transferred to surgery. In surgery, a dacron graft was placed in the patient's aorta and a prosthetic valve was placed on the aortic valve, and left main coronary repair and right coronary is bypass were performed. The patient was discharged without any problem. Conclusion: Aortic dissection is a clinical diagnosis, it is a disease with high mortality. Imaging methods are helpful in diagnosis, but the fact that imaging methods rule out dissection does not always rule out the disease. The important thing is to suspect the disease and to consider the patient's current clinical symptoms and signs.en_US
dc.identifier.doi10.33706/jemcr.789856
dc.identifier.endpage103en_US
dc.identifier.issn2149-9934
dc.identifier.issue4en_US
dc.identifier.startpage101en_US
dc.identifier.urihttps://doi.org/10.33706/jemcr.789856
dc.identifier.urihttps://hdl.handle.net/20.500.12452/15794
dc.identifier.volume11en_US
dc.identifier.wosWOS:000605752400005en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherEmergency Medicine Physicians Assoc Turkeyen_US
dc.relation.ispartofJournal Of Emergency Medicine Case Reportsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAortic Dissectionen_US
dc.subjectComputed Tomographyen_US
dc.subjectTransesophageal Echocardiographyen_US
dc.subjectSurgeryen_US
dc.titleIs Computed Tomography the Gold Standard in Aortic Dissection?en_US
dc.typeArticleen_US

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